Vacation Notifcation

Please take this time to fill out the following vacation contact information data form in order for us to notify our patrol force that your property will be vacant. In addition, please provide us with at least one local contact in case a problem arises at your property while you are away. If you would like we can retain this information as part of the property record in our computer aided dispatch system by checking the box at the end of the form. We will keep this information until the next time it is updated.

Address: 6 Good St, Billerica, Massachusetts 01821

Emergency: Dial 911

Non Emergency Phone: 978-671-0900 or 978-667-1212

Fax: 978-663-2392

*indicates required field

Name:*

Email:*

Phone:*

Home Address:*

Emergency contacts or keyholders

Contact #1

Name 1:

Phone #1:

Phone #2:

Contact #2

Name 2:

Phone #1:

Phone #2:

Contact #3

Name 3:

Phone #1:

Phone #2:

Date range

Leave Date:*

Return Date:*

Please leave any additional information you may have:

Alarm Information

Alarm Company:

Alarm Company Phone #:

Check here if you want us to retain this information for your property (until next update)

Enter the text you see in the above image into the field below. We'd like to know you are human! *

After submitting this form you should be redirected to a submission confirmation page. If not, please contact BPD Technical Services at 978-215-9636